B
USINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-08)
Instructions for Filing
APPLICATION FOR REINSTATEMENT FOLLOWING ADMINISTRATIVE DISSOLUTION
OF LIMITED LIABILITY COMPANY
Item 1 Enter the complete name of the limited liability company exactly as it appears on the records of the North Carolina
Dept. of the Secretary of State.
Item 2 Enter the effective date of the administrative dissolution of the limited liability company. The date must be stated
in the month/day/year format.
I
tem 3 Enter the grounds that existed for the administrative dissolution of the Limited Liability Company.
I
tem 4 Select either A or B as appropriate and insert a brief explanation explaining the selection.
D
ate and Execution
Enter the date the document was executed.
In the blanks provided enter:
The name of the limited liability company as it appears in item 1.
The signature of the Manager or other Company Official of the limited liability company executing th
e
doc
ument.
The name and title of the above-signed representative.
BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-08)
State of North Carolina
Department of the Secretary of State
APPLICATION FOR REINSTATEMENT FOLLOWING ADMINISTRATIVE DISSOLUTION OF
LIMITED LIABILITY COMPANY
Pursuant to §57D-6-06(c) of the North Carolina General Statutes, the undersigned limited liability company hereby submits this
Application for Reinstatement Following Administrative Dissolution:
1. The name of the applicant limited liability company is: _____________________________________________________.
2. The effective date of the administrative dissolution of the applicant limited liability company was: _______________.
3. The ground or grounds for administrative dissolution of the applicant limited liability company as stated in its Certificate of
Dissolution was or were:______________________________________________________________________________.
4. Complete either (a) or (b) as appropriate:
(a) The grounds stated above for the administrative dissolution of the applicant Limited Liability Company did not exist.
(Insert brief explanation.) ______________________________________________________________________
___________________________________________________________________________________________.
(b) The grounds stated above for the administrative dissolution of the applicant Limited Liability Company have been
eliminated. (Insert brief explanation.)
_________________________________________________
5. Enclosed is a fee of $100.00 as required by §57D-1-22(18) of the North Carolina General Statutes.
This the __________ day of _________________, 20______.
______________________________
Name of Limited Liability Company
___________________________________________
Signature
___________________________________________
Type or Print Name and Title
Notes:
1. Filing fee for this Application for Reinstatement is $100.00, payable by check made to the order of the Secretary of State.
2. This Application must be filed with the Secretary of State.
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